Deletion from USCG Documentation NVDCINST 16713/1-3 OMB No. 1625-0027 A vessel may be deleted from documentation upon the request of the vessel owner or an authorized agent on behalf of the owner. The request must be in writing and must include the vessel's official number and reason for deletion. The original Certificate of Documentation (COD) is to be returned by the owner named on the certificate. Please provide evidence of sale or transfer AND a statement indicating nationality of owner and/or country in which vessel will be flagged (in the event vessel is being sold to non-US citizen(s) or being flagged in a foreign country). Evidence of sale is required in the event vessel is sold foreign as per 46 CFRn67.171(c)(1). A Certificate of Documentation (COD) is invalid and the vessel subject to deletion from the roll of actively documented vessels when any of the situations listed in 46 CFR 67.171 occurs. THIS FORM IS FOR U.S. COAST GUARD DOCUMENTED VESSELS ONLY.I. APPLICATIONVESSEL NAME AND OFFICIAL #(Required) 2. Official Number or other unique identifer (ex. HIN) 3. Reason for Deletion(Required)AUTHORIZED SIGNATURE(Required) Signature(Required)Date MM slash DD slash YYYY CAPACITY ( E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)(Required) II. CONSENTAs (on behalf) of the Mortgagee(s), (we) consent to withdrawal of the application for Documentation or exchange of the outstanding Certificate of DocumentationEmail(Required) Enter Email Confirm Email Deletion of USCG Documentation Price: Satisfaction of Mortgage Price: Please select any additional services you wish to have processed Priority Request/Rush Processing Abstract of title Certified copy of documentation Satisfaction of Mortgage Satisfaction of MortgageINSTRUMENT TYPE (CHECK ALL THAT APPLY) PREFERRED MORTGAGE CHATTEL MORTGAGE AMENDMENT ASSUMPTION SUPPLEMENT SUBORDINATION ASSIGNMENT OTHER (DESCRIBE) NAME(S) AND ADDRESS(ES) OF GRANTOR(S) (MORTGAGOR(S), ASSIGNOR(S), ASSUMING PARTY(IES), OR OTHER(S)GRANTOR. FOR PURPOSES OF THIS FORM, GRANTORS INCLUDE MORTGAGORS, ASSIGNORS, PERSONS ASSUMING MORTGAGES, PERSONS GRANTING SUBORDINATION OF MORTGAGES. LIST ALL GRANTORS AND ADDRESSES.INTEREST OWNED IN VESSEL OR HELD IN MORTGAGE AFFECTED BY ATTACHED INSTRUMENT (100% UNLESS OTHERWISE STATED) NAME(S) AND ADDRESS(ES) OF GRANTEE(S) (MORTGAGEE(S), ASSIGNEE(S), OR OTHER(S)GRANTEE. FOR PURPOSES OF THIS FORM, GRANTEES INCLUDE MORTGAGEES, ASSIGNEES, PERSON FROM WHOM MORTGAGES ARE ASSUMED, AND PERSON TO WHOM SUBORDINATION OF MORTGAGES ARE GRANTED. LIST ALL GRANTEES AND ADDRESSES.PERCENTAGE OF VESSEL MORTGAGED OR MORTGAGE ASSIGNED (100% UNLESS OTHERWISE STATED) Amount IF THE FOLLOWING INFORMATION IS UNKNOWN YOU MUST ORDER AN ABSTRACT OF TITLE UNDER ADDITIONAL SERVICES TOWARDS THE TOP OF THE PAGE.RECORDED BOOK: Page FILE/RECORDED DATE: MM slash DD slash YYYY TIME: OTHER IDENTIFYING DATA: Total Delivery MethodEmailFaxUSPSFax Number Confirm Fax Number Authorization(Required) I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected USCG documents. I understand that my application will be processed in the order in which it is received by Vessel Documentation Online, a private documentation firm. I understand that application and processing fees are non-refundable as per Vessel Documentation Online's no refund policy and as per 46 CFR 67.500(e). I understand that submitting another application for vessel documentation will supersede the current/pending application for that vessel. PAYMENT INFORMATION(Required)Card Details Cardholder Name Having Trouble? 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